Organization Active NPI

M Natacha Umlauf MD Pediatrics PLC

  • Public Health & General Preventive Medicine Physician
  • Dearborn, MI
National Provider Identifier
1750354692
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
4301066301 Issued in MI
Legal business name
M NATACHA UMLAUF MD PEDIATRICS PLC
Practice address
2331 Monroe St
Dearborn, MI 48124
Phone
(313) 792-0345
Fax
(313) 792-0346
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matriosca Natacha Umlauf, MDNPI 1245206044
Title
Physician
Phone
(313) 792-0345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X 4301066301 MI Primary

Addresses

Primary practice location

2331 Monroe St
Dearborn, MI 48124

Mailing address

2331 Monroe St
Dearborn, MI 48124
Phone (313) 792-0345

Other identifiers 1

IdentifierTypeStateIssuer
4078422MedicaidMI

Other names 1

  • Pediatric Associates of Dearborn Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0960104Pediatric Associates of Dearborn2331 Monroe St, Dearborn, MI 48124ComplianceAug 19, 2026

National Provider Directory

National Provider Directory

Locations

2331 Monroe St
Dearborn, MI 48124
Phone (313) 792-0345

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1750354692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-792-0345",
            "fax_number": "313-792-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-792-0345",
            "fax_number": "313-792-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M NATACHA UMLAUF MD PEDIATRICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "UMLAUF",
        "authorized_official_first_name": "MATRIOSCA",
        "authorized_official_middle_name": "NATACHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-792-0345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301066301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4078422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Associates of Dearborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.